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Inside CMS: Spending Bill Bashes RACs, Hits CMS and OMHA Over Appeals Backlog

  Read more at Inside CMS (subscription required).

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American Action Forum Release RAC Program Primer

  The American Action Forum, a Washington-based policy institute, released a primer today that provides a valuable introduction to the Recovery Audit program, the “Two-Midnight” rule, and the issues surrounding Medicare integrity. Read the primer on the here, at the AAF website.

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Medicare FFS Error Rate Continues To Increase In Fiscal 2014

  As the RAC moratorium continues, the Medicare fee-for-service error rate has climbed to the highest rate in history. Read more from Inside Health Policy: Read more at Inside Health Policy(subscription required).

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Medicare Improper Payment Rate Continues To Climb, Recoveries Decline As RACs Are Sidelined

  FOR IMMEDIATE RELEASE November 24, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Medicare Improper Payment Rate Continues To Climb, Recoveries Decline As RACs Are Sidelined The FY2014 Medicare FFS program improper payment rate is now 12.7%, representing a $46.0 billion annual loss to the program Washington, D.C. – The Centers for Medicare and Medicaid […]

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Bloomberg BNA: Rep. Brady Releases Draft Bill to Alter Medicare Hospital Payment Policies

  Rep. Kevin Brady (R-TX) released a discussion draft of his bill to alter Medicare payment policies. Bloomberg BNA outlined the legislation and stakeholder response in a Nov. 20 article: Read more at BloombergBNA(subscription required).

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The Hill: RACs rock, so stop gutting the program

  The RAC program is “the most successful tool for Medicare program integrity that taxpayers have ever had”. Let’s keep it that way. Read more at The Hill.

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October RAC Facts: A Year Without Auditing

 One year ago, the Protecting Access to Medicare Act was enacted, granting providers an 18-month Medicare oversight holiday from auditing of short-stay inpatient hospital stays. This has dealt a detrimental blow to the solvency of the Medicare Trust Fund. Though RACs are still able to audit other types of claims, a significant percentage of improper payments have […]

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Healthcare Dive: The Friday Dive: Industry reactions to RAC figures mixed

  The Fiscal Year 2013 CMS report to Congress finds that Recovery Audit Contractors returned over $3 billion to the Medicare Trust Fund in 2013. Read more at Healthcare Dive.

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RAC Facts: CMS Releases Annual RAC Report

  At the end of September, the Centers for Medicare and Medicaid Services (CMS) released the Medicare fee-for-service Recovery Audit Program’s annual report to Congress. This report documents the results of Recovery Audit Contractors (RACs) fiscal year 2013 auditing efforts. Since its inception in 2009, the RAC program has remained one of the government’s most effective […]

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FY2013 RAC Report To Congress: RACs are Effective, Accurate And Rarely Overturned on Appeal

FOR IMMEDIATE RELEASE September 29, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 FY2013 RAC Report To Congress: RACs are Effective, Accurate And Rarely Overturned on Appeal Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) have released the Medicare fee-for-service Recovery Audit Program’s annual report to Congress for the fiscal year 2013. The […]

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